Patient Story 20: Does Your Sexual Health Affect Your Marital Life? Learn How a Man Overcame Premature Ejaculation and Erectile Dysfunction

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Dr Sachin Lohar has done his MBBS from Topiwala National Medical College, Mumbai and postgraduation in Psychiatry from prestigious Seth GS Medical College, Mumbai. He has a fellowship in Deaddiction Psychiatry from KEM Hospital, Mumbai. His areas of interest include Psychosexual Medicine, Deaddiction, Suicide.
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Updated on 10 February, 2025
- Article was updated as part of our commitment to diversity, equity, and inclusion.
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In this story, we will get to know about Ankit, a 47-year-old man from Mumbai, who has been facing ejaculation and occasional erection issues that affected his marital life along with his mental health. After struggling with sexual health problems, and performance anxiety for many years, they started feeling hurt and unhappy with each other, making their relationship more difficult. Ankit also had trouble with his cardiac issues next to his stress. Ankit’s determination and seeking guidance from experts transformed his overall health and relationship. This story will take you to Ankit’s journey of self-transformation towards positivity and emphasize how a holistic approach to health can lead to remarkable changes.
Identifying the concern
Ankit had been facing a challenging period for the past 4 years regarding his sexual health. He had been married for 19 years and lived happily together with his wife. He had been struggling with Premature ejaculation, a condition where the climax takes place early, and occasional Erectile dysfunction, which explains the difficulty in achieving or maintaining an erection during intercourse. He faced difficulty with early ejaculation, delayed ejaculation, and sometimes no ejaculation at all. He started suffering from performance anxiety and low self-esteem and realized that was also affecting his marital life’s happiness.
Ankit also had cardiac issues for which he had been under-prescribed medications Phosphodiesterase-5 (PDE5) inhibitors lately, even though there was not a record of long-term illness or any kind of disorder. This drug is a type of targeted therapy used to treat people with pulmonary hypertension. He also had a habit of consuming tobacco and alcohol often which can be a potential cause of his sexual health issues.
Before getting in touch with Allo Health, Ankit consulted about the same sexual problem before. And also tried to fix his sexual health issues by applying some home remedies, and browsing through YouTube videos to get rid of his premature ejaculation problems and also his erection complications but nothing seemed to be helpful. He also tried to do some physical activity but irregular consistency, and lack of motivation never showed any improvements. Hence he decided to get some expert’s help to deal with his condition.
Discovering Help and Initial Consultation
As Ankit started looking for appropriate guidance for his betterment, one fine evening while scrolling through Facebook he watched Allo Health’s videos on their channel that turned sexual health problems into solved solutions. Later, while searching for a relevant solution Raghav researched more on Allo Health to know how it can be helpful, the services offered by Allo Health, and all.
After seeing positive reviews, he got some motivation and made up his mind to take Allo’s treatment plan and hence he proceeded further by taking an assessment on the Allo website. This assessment was made to know exactly the needs of an individual and to make a treatment plan that’s just right for them. Fascinated by Allo Health’s good work with sexual health, he chose to schedule an appointment. He visited Allo for the first time in December 2023 and met Dr. Sachin Lohar.
Dr. Sachin Lohar has a degree in MBBS and DNB in Psychiatry, with 8 years of experience. He works as a psychiatrist focusing on psychosexual medicine at Allo Health. During Ankit’s first visit, Dr. Sachin made him feel at ease and listened to his concerns about erectile dysfunction, premature or delayed ejaculation, performance anxiety, and his habits like using tobacco and alcohol frequently.
After a thorough discussion, Dr. Sachin stated: “ It’s normal for men to experience sexual complications, and you are not alone in this.” He even added his regular habits of consuming tobacco and alcohol are of concern, and he needs to adapt himself to a modification for his betterment. After careful observation of Ankit’s condition, Dr. Sachin Crafted a treatment plan for him accordingly, considering both his Psychological and physical aspects.
Identifying the Root Causes
In Ankit’s case, several key elements contribute to his condition:
- Medical History: Ankit’’s medical history included cardiac issues for which he was taking prescribed medications, specifically Pde5 inhibitors. This suggested a potential interplay between his cardiovascular health and sexual function, as cardiovascular conditions can impact blood flow, which is crucial for erectile function.
- Lifestyle Habits: Ankit had habits of consuming tobacco and alcohol frequently. These habits significantly affected his sexual performance and contributed to erectile dysfunction and premature ejaculation. Tobacco use was linked to vascular problems that could impair blood flow to the genitals, while excessive alcohol consumption disrupted hormone levels and affected sexual desire and performance.
- Psychological Factors: Ankit’s symptoms, such as ejaculatory problems and performance anxiety, indicate possible psychological influences on his sexual health. Stress, anxiety, and performance pressure contributed to both erection issues and early ejaculation, affecting the timing and quality of sexual experiences.
- Relationship Dynamics: Ankit’s marital disharmony resulting from his sexual health issues suggested that relationship dynamics and communication within his marriage also played a role in his condition. Addressing relationship issues and improving communication can be crucial for holistic treatment.
Treatment and Consultation
In his time with Allo Health, Ankit explored the main reasons behind his issues with the help of Dr. Sachin. The diagnosis stated that his unhealthy habits of consuming tobacco and alcohol often, lead him to suffer Premature ejaculation, delayed ejaculation, or sometimes no ejaculation at all, and also occasional erectile dysfunction. Understanding both factors was key to creating a good treatment plan for Ankit. He realized this was a big step towards getting better and feeling healthier.
After understanding Ankit’s situation, Dr. Sachin acted quickly to help him. He gave him specific medicines made just for him. These medicines were divided into different groups to treat him better: These include selective serotonin reuptake inhibitors (SSRIs) primarily used to treat premature ejaculation in adult men, types of antidepressants that help to manage depression, and also effective for several anxiety disorders, a dietary supplement enriched with L-Arginine is a non-essential amino acid that is used to treat people who aren’t getting enough nutrients and also increase blood circulation in patients.
Besides prescribing him medications he suggested Ankit made some changes to his diet and started exercising regularly to lose weight in a healthy and lasting way. He should eat a balanced diet with many fruits, veggies, lean proteins, and whole grains. He should also follow a workout plan that includes cardio and strength training exercises.
Key lifestyle modifications advised by Dr. Sachin included:
- Pelvic Exercises: Practice pelvic exercises regularly to strengthen the muscles involved in ejaculation. This can help you control the timing of your orgasm more effectively.
- Managing Stress and Anxiety: Feeling anxious or stressed can lead to premature ejaculation. Focus on feeling relaxed and enjoying the moment, which can improve your sexual performance.
- Using Thick Condoms: Wear long-lasting, thicker condoms to reduce sensitivity. This can help delay ejaculation during intercourse.
- Importance of Foreplay: Spend 5 to 10 minutes on foreplay before intercourse. This not only builds intimacy but can also enhance sexual performance and satisfaction.
- Understanding Early Ejaculation: Early ejaculation is a common issue and not a sign of weakness. Remember, many men experience this, so you are not alone.
- Quality Sleep: Aim for 6 to 8 hours of uninterrupted sleep every night. Good sleep is crucial for maintaining strong erections and overall sexual health.
- Open Communication: Talk openly with your partner about any sexual concerns. This can lessen performance pressure and strengthen your relationship.
- Extended Foreplay: Engage in at least 5 to 10 minutes of foreplay to improve erection quality. It’s a key part of a fulfilling sexual encounter.
- Staying Present: During intimate moments, try to keep your mind focused on the present rather than worrying about your performance. A relaxed mind can lead to better erections.
- Health Advice: If you smoke, consider quitting. Smoking can negatively impact your sexual health and erections.
- Regular Physical Activity: Engage in physical activities like running or walking for at least 30 minutes a day. Regular exercise can boost your sexual stamina and overall health.
Dr. Sachin made Ankit feel better by saying that his sexual problems are normal for many men. He explained that these issues can be fixed with the right treatment and lifestyle changes. This first meeting not only started Ankit’s treatment but also showed how Allo Health and Dr. Sachin Lohar care about patients and consider all aspects of their health when treating sexual problems.
Follow-up and Improvements
During his first follow-up in February 2024, Raghav reported noticeable improvements in his Premature Ejaculation. However, he admitted to being irregular with the prescribed medications, despite having 20 days’ worth of medicine left. In response, he was advised to continue with a few additional medications while stopping the old ones. A follow-up appointment was scheduled for four weeks from that date to monitor progress.
During the final follow-up, Ankit experienced significant enhancements in both his sexual health and psychological well-being. He reported improvements in several areas, including:
- Erection Quality: Ankit noticed a marked improvement in the quality of his erections, indicating better erectile function.
- Control Over Ejaculation: He reported better control over ejaculation, suggesting increased stamina and sexual performance.
- Sexual Desire: Ankit experienced heightened sexual desire, indicating a positive shift in his libido.
- Anxiety and Stress Levels: There was a notable decrease in his levels of anxiety and stress, which are common contributors to sexual health issues.
These positive changes had a ripple effect, positively impacting Raghav’s relationship with his wife. The reduced performance pressure and improved sexual function likely contributed to a more fulfilling and harmonious intimate life for both partners. Overall, the combination of medication adherence and lifestyle adjustments resulted in a significant improvement in Raghav’s sexual and psychological well-being.
Road to Recovery
Ankit chose to buy his medicines directly from Allo Health because they were cheaper there than anywhere else. He also liked that the medicines were delivered discreetly to his home.
Since Ankit started his wellness journey with Allo Health in December 2023, he kept going for his check-up sessions as Dr. Sachin recommended. His worry about his erectile dysfunction and problems with ejaculation has gotten better. To help him remember, he set up helpful reminders. These reminders are very important for keeping people on track with their medication, especially when they need to take it for a long time or at specific times.
Allo Health also helps patients remember to book their next visit and solves any problems that could stop them from getting the treatment they need. His concern about his delayed, early, or no ejaculation and occasional erection problem had started improving, though he had committed to Dr. Sachin for not being regular and obedient with his medications somehow he managed to follow the pieces of advice. Allo Health kept sending messages to check on how his treatment was going and if everything was okay.
Before seeing the doctor, patients completed a form to share their updates. This helped the doctor figure out what to do next. During his first check-up in February 2024, he noticed his erectile dysfunction was improving. Dr. Sachin adjusted his medicine doses. Then, in March 2024, during his second follow-up, he saw even more improvement in both his erectile dysfunction and his condition kept getting better. By his last follow-up, he was completely cured and doing much better. Ankit carefully followed and finished his treatment plan.
Ankit’s journey underscores the transformative power of seeking specialized assistance and adopting a comprehensive approach to address sexual health concerns. By prioritizing both physical and mental well-being, Ankit not only regained self-assurance but also witnessed significant improvements in overall health.
His experience serves as a beacon of hope for others facing similar challenges, encouraging them to seek professional help. It emphasizes the indispensable role of healthcare providers like those at Allo Health, who offer tailored solutions and support for individuals navigating complex health issues. Ankit’s story stands as a testament to the effectiveness of a holistic approach in achieving positive outcomes and fostering a healthier, more fulfilling life.
